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KMID : 0897520160210020063
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Journal of Korean Association of Social Psychiatry
2016 Volume.21 No. 2 p.63 ~ p.69
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Difference of Psychiatric Symptoms of Quarantined Health Care Workers According to Quarantining Method after Contacting a Middle East Respiratory Syndrome Patient
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Kim Hyung-Joon
Yim Kyung-Mi
Hwang Jae-Yeon
Seong Su-Jeong
Park Ji-Won
Son Kyung-Hoon
Jeon Yeong-Ju
Han Chang-Hwan
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Abstract
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Objectives : During the 2015 Middle East Respiratory Syndrome (MERS) outbreak in Republic of Korea, health care workers (HCWs) that had contact with infected patients were quarantined, either at home or within a hospital quarantine ward. The current study aimed to compare psychiatric morbidities of HCWs quarantined in different locations.
Methods : Questionnaires were administered to all 146 quarantined HCWs in a general hospital in Seoul, Republic of Korea, about a month after exposure to a MERS patient and about 2 weeks after release from quarantine. Collected data included demographics and responses to the following instruments to assess depressive symptoms, anxiety, and acute stress, respectively : 1) Patient Health questionnaire-9 (PHQ-9), 2) Spielberger's State Trait Anxiety Inventory (STAI), and 3) Stanford Acute Stress Reaction Questionnaire (SASRQ).
Results : Hospital quarantined HCWs were more depressive (p<0.001), more likely to be diagnosed with acute stress disorder (p=0.014). There was significant association between depression and being hospital quarantined [Odd ratio (OR)=6.342, 95% CI=1.853-21.708, p=0.003], and between depression and longer quarantine duration (OR=1.153, 95% CI=1.036-1.285, p=0.009).
Conclusion : Hospital quarantined HCWs were likely more depressed and having acute stress disorder. Being hospital quarantined and longer duration of quarantine were associated with depression. Within-hospital quarantine should be carefully installed and closely monitored to minimize psychological distress and maximize chance of timely intervention.
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KEYWORD
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MERS-CoV, Quarantine, Depression, Anxiety, Acute stress disorder
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